by Christopher Baggot | Jul 9, 2019 | Aetna, Audits, Blog, CCMA, Claims, DRG Validation, Healthcare, HEDIS, Hospital Audits, Medicaid, Medical Records, RAC Audits, Revenue Cycle
Passive, Proactive, and Retrospective Cost Containment in Medical Auditing A case study analysis of services supplied to our hospital/provider clients By Christopher Baggott, CEO Medlinks Cost Containment, Inc. The great boxer Jack Dempsey said, “The best defense is...
by Christopher Baggot | Jun 26, 2019 | Audits, Blog, HEDIS, Hospital Audits, RAC Audits
Passive Cost Containment Stopping Medical Audit Loss Before It Begins By Christopher Baggott, CEO Medlinks Cost Containment, Inc. “Passive Cost Containment” refers to the process of records request reviews. In order to reduce audit loss, the provider must...
by Christopher Baggot | Nov 15, 2018 | Blog, Revenue Cycle
This article originally appeared in The Report on Medicare Compliance Volume 24, Number 36 Dated: October 12, 2015 Money may be slipping through hospital hands when commercial payers adjust payments for certain room and board charges, consultants say. Payers are...
by Christopher Baggot | Nov 12, 2018 | Blog, Healthcare
Geisinger Health System CEO and President Dr. David Feinberg is moving to Google, where he’ll take a healthcare leadership position. Dr. Jaewon Ryu will take over as interim president and CEO of Geisinger on Dec. 1. Google’s healthcare efforts are...
by Christopher Baggot | Nov 9, 2018 | Audits, Blog, Claims, DRG Validation, Hospital Audits
Defense for Claim Sweeping of “Routine” Supplies Recently a hospital client asked us to review claims where the supply items had been removed from the claim. In response to the request, we found the health plan had “swept” a few particular revenue centers, claiming...
by Christopher Baggot | Nov 5, 2018 | Blog, Healthcare, Medicaid
Ballot initiatives to expand Medicaid health coverage in three Republican-leaning states have momentum heading into Tuesday’s midterm elections. Voters in Idaho, Nebraska and Utah could follow the lead of voters in Maine who last November voted to expand Medicaid for...
by Christopher Baggot | Oct 29, 2018 | Blog
Walmart stores in several states are transforming extra parking lot space into “town centers,” some of which could include health clinics, according to Business Insider. “The Walmart Town Center concept is an exciting approach to how we serve our...
by Christopher Baggot | Oct 23, 2018 | Audits, Blog, Claims, HEDIS, Hospital Audits, Medicaid, Medical Records, RAC Audits, Revenue Cycle
As reimbursement rules catch up, providers embrace technologies for remote care and patient monitoring. Centralized care, with a hospital as the “hub,” is the standard in the U.S. today. But this familiar model is changing rapidly, as providers embrace remote care at...
by Christopher Baggot | Oct 15, 2018 | Blog
Like with most things in healthcare, organizations need to keep following up after choosing the right vendor and signing an airtight contract to best protect data. In the last few years, cloud computing has moved from an option for healthcare providers to,...
by Christopher Baggot | Oct 10, 2018 | Blog, DRG Validation, HEDIS, Hospital Audits, Medicaid, Medical Records, RAC Audits, Revenue Cycle
Article Written By Susannah Luthi | October 10, 2018 Senate Democrats on Wednesday failed in an attempt to overturn the Trump administration’s expansion of so-called short-term, limited-duration plans, although they gained a Republican ally. Sen. Susan Collins...
